BONNINE B BOUCHARD (NPI# 1235465881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235465881 |
Entity Type | Individual |
Full Name | BONNINE B BOUCHARD |
Practice Address |
2 Moosehead Lake Rd Greenville ME 04441-0221 |
Mailing Address |
Po Box 221 Greenville ME 04441-0221 |
Practice Telephone | 2076954579 |
Mailing Telephone | 2076954579 |
Enumeration Date | 2009-11-02 |
Last Update Date | 2009-11-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | 212406 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2 MOOSEHEAD LAKE RD |
City | GREENVILLE |
State | ME |
Zip Code | 04441-0221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679792022 | Town of Greenville | Day Training, Developmentally Disabled Services | 100 Pritham Ave., Greenville, ME 04441 | 2007-04-24 |
1528196219 | Moosehead Drug Inc. | Pharmacy | 10 Pritham Ave, Greenville, ME 04441 | 2007-03-02 |
1104834977 | Eastern Maine Healthcare Systems | Medicare Defined Swing Bed Unit | 364 Pritham Avenue, Greenville, ME 04441 | 2006-08-04 |
1104396167 | Michael Harris | Pharmacist | 10 Pritham Ave, Greenville, ME 04441 | 2018-12-03 |
1629350954 | Dorothy Bennett | Speech-Language Pathologist | 144 Pritham Avenue, Greenville, ME 04441 | 2011-09-13 |
1942516158 | Martha Pfirman | Speech-Language Pathologist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-25 |
1992011340 | Angie Madore | Occupational Therapist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-24 |
1659687028 | Karen Glavin | Physical Therapist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-24 |
1134354228 | Charles A Dean Memorial Hospital & Nursing Home | Skilled Nursing Facility | 364 Pritham Avenue, Greenville, ME 04441 | 2009-05-19 |
1174743090 | Town of Beaver Cove | Local Education Agency (LEA) | 100 Pritham Ave., Greenville, ME 04441 | 2007-04-26 |
Find all providers in zip 04441 |
Taxonomy Code | 222Q00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Developmental Therapist |
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114577764 | Jessica Ann Legault | Developmental Therapist | 416 E College Ave, Greenville, IL 62246-1523 | 2019-09-16 |
1770939423 | Brittany Michelle Dixon | Developmental Therapist | 409 Maple St, Greenville, NC 27858-2631 | 2016-05-12 |
1548652217 | Elvira Mitchell | Developmental Therapist | 3538 S Woodlawn Dr, Greenville, MS 38703-8213 | 2015-03-04 |
1477973659 | Melissa Morrison | Developmental Therapist | 1010 River Hill Dr, Greenville, NC 27858-8334 | 2014-04-25 |
1083804215 | Cheryl Jean Yarrell | Developmental Therapist | 100 David Dr, Apt. E-18, Greenville, NC 27858-4865 | 2007-07-25 |
1972142032 | Michelle Turnof | Developmental Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2020-01-06 |
1609396563 | Alison Couse | Developmental Therapist | 1100 Red Banks Rd, Greenville, NC 27858-5205 | 2017-06-22 |
1396275541 | Brittany Stephenson | Developmental Therapist | 1100 Red Banks Rd, Greenville, NC 27858-5205 | 2017-06-19 |
1811293236 | Andrea Lugo | Developmental Therapist | 700b Cromwell Dr, Greenville, NC 27858-5852 | 2011-02-02 |
1548564628 | Araceli L Ascencio | Developmental Therapist | 700b Cromwell Dr, Greenville, NC 27858-5852 | 2011-01-04 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 04441 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.